FY24 MIPPA for Title VI Application Form.pdf
PDF 117 KB Posted
- Opportunity number
- HHS-2024-ACL-MITR-2401
About this file
This document is an Application for FY 2024 MIPPA Funding under Funding Opportunity Number HHS-2024-ACL-MITR-2401. The applicant, a Tribal Government (Federally Recognized), is requesting at least $2,000 in FY 2024 MIPPA funding to coordinate community announcements and outreach events to inform and assist eligible Native American, Alaska Native and Native Hawaiian elders about Medicare Part D, the Low-Income subsidy, the Medicare Savings Program, and Medicare prevention benefits and screenings. The application is due by July 31, 2024 at 11:59 p.m. ET. Upon award, the grantee must submit a narrative report within 90 days and a final Federal Financial Report within 120 days after the project period end date. The funding is provided under the Medicare Improvements for Patients and Providers Act (MIPPA) and administered by the U.S. Administration for Community Living.
FY24 MIPPA for Title VI Application Form
View the file
Other files
| File | Type | Posted |
|---|---|---|
| FY24 MIPPA for Title VI Instructions.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
VIII. Attachment: Application for FY24 Tribal MIPPA Funding
Due Date: July 31, 2024, 11:59 p.m., ET
To: Sara Vogler, Program Manager
Administration for Community Living, Administration on Aging
MIPPA.Grants@acl.hhs.gov
From: ____________________________________________________
Grantee/Organization Name
State
Grant No.: 23__ __ __ __OATA (Please send separate email for each application)
(Number) (State Code)_______________________________________________ (FY 2023-2026 Title VI Part A/B Grant No. is on the Notice of Award below the “Date”, e.g., 2301AKOATA. DO NOT ENTER “HHS-2024-ACL-MITR-2401”.)
RE: Application for FY 2024 MIPPA Funding in response to Funding Opportunity Number:
HHS-2024-ACL-MITR-2401
We are requesting FY 2024 funding under the Medicare Improvements for Patients and Providers Act (MIPPA) for Beneficiary Outreach and Assistance in the amount of at least $2,000. These funds will be used to coordinate at least one community announcement and one community outreach event to inform and assist eligible Native American, Alaska Native and Native Hawaiian elders about the benefits available to them through Medicare Part D, the Low-Income subsidy, the Medicare Savings Program, or Medicare prevention benefits and screenings. Where possible, we will maximize resources by collaborating with local providers, the Indian Health Service, Tribal Health Services and others involved with these programs.
We will submit a narrative report to ACL within 90 days following the event(s). This narrative report will include a brief description of the event(s), date(s), location(s), and number of participants, and will be submitted via e-mail to MIPPA.Grants@acl.hhs.gov. Include the word “FY24 MIPPA Report: State, Name of Tribe, and [Your MIPPA Grant Number]” on the subject line. We will also submit a final Federal Financial Report (FFR) in PMS within 120 days after the project period end date. These funds will not be used for lobbying.
Print/Type Name of Tribal Chair (or designee) Date
Signature of Tribal Chair (or designee)
Print/Type Name of Title VI Director -and- E-mail Address to receive the Notice of Award (NoA) email for this funding directly from GrantSolutions mailto:MIPPA.Grants@acl.hhs.gov mailto:MIPPA.Grants@acl.hhs.gov
File details come from the government source that posted it. Updated .